Individual
MRS. DANIELLE JO GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1200 S 16TH ST, #1071, CLARINDA, IA 51632
(712) 542-5142
Mailing address
201 MAIN ST, FONTANELLE, IA 50846
(641) 745-5186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
075262
IA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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